Organization
HAGEN DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE P HAGEN DDS (OWNER)
(701) 347-5345
Entity
Organization
Contact information
Practice address
102 LANGER AVE N, CASSELTON, ND 58012-3324
(701) 347-5345
(701) 347-5346
Mailing address
PO BOX 520, CASSELTON, ND 58012-0520
(701) 347-5345
(701) 347-5346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2014
ND
Other
Enumeration date
08/16/2007
Last updated
06/30/2014
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